To add FS support to existing database just create a new filegroup, then add the fs file;
alter database YourDatabase
add filegroup fsGroup contains filestream;
go
alter database YourDatabase
add file
( NAME = 'fsYourDatabase', FILENAME = 'c:\<your_file_path>'
)
to filegroup fsGroup;
go
More here: BOL Link
And definitely read everything Paul Randal has written about filestream: link